243238 03/18/15 C9q� CITY OF CARMEL, INDIANA VENDOR: 00352999
;; ® t 1 ONE CIVIC SQUARE HYLANT GROUP CHECK AMOUNT: $**"*****50.00*
�a' CARMEL; INDIANA 46032 301 PENNSYLVANIA PKWY,SUITE 201 CHECK NUMBER: 243238
M���oN�, INDIANAPOLIS IN 46280 CHECK DATE: 03/18/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 4347500 73395 50.00 GENERAL INSURANCE
Hylant-Indianapolis Invoice # 73395
0�� HYLANT 301 Pennsylvania Pkwy,Ste 201
Indianapolis,IN 46280 Date x�.Y �f,' _ �' �,BSIc111Ce Due�Ort
P-(800)678-0361 3/6/2015 4/25/2015
hylant.com F-(317)817-5151
City of Carmel
'AccountENumber Amount Due {
CARMELO-02 $50.00
City of Carmel
Attn: STEVE'ENGELKING
One Civic Square
Carmel, IN 46032
Please Return Top with Remittance To: 301 Pennsylvania Pkwy,Ste 201,Indianapolis,IN 462800925
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Bond-Notary Policy# 32S463281 Effective: 4/25/15 - 4/25/23
Issuing Company Ohio Casualty Insurance Company
480198 4/25/2015 4/25/2015 NEWB NOTARY BOND-PAMELA K. LUX(BLDG&CODE 50.00
SERVICES)
Total Invoice Balance: $50.00
"PLEASE NOTE REMITTANCE ADDRESS CHANGE"
///HYT,ANT Hylant-Indianapolis 301 Pennsylvania Pkwy,Ste 201 Indianapolis IN 46280
3/6/2015 Insured City of Carmel Loan# Invoice#73395 UBAMA1 Page 1 of 1
VOUCHER NO. WARRANT NO.
ALLOWED 20
Hylant Group
IN SUM OF $
Sue Morlock Do I iV�r'�.
5&4—Ge r At-2.0
G
$50.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel DOCS
PO#/Dept. INVOICE NO. ACCT#!TITLE AMOUNT Board Members
1192 73395 43-475.00 $50.00
I hereby certify that the attached invoice(s), or
I I
bill(s) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
I
Monday, March 16, 2015
e
Direct r
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by State Board of Accounts City Form No.201(Rev.1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or bill to be properly itemized must show: kind of service,where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit,etc.
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
03/06/15 73395 Pam Lux-Notary Bond $50.00
I hereby certify that the attached invoice(s), or bill(s), is(are)true and correct and I have audited same in accordance
with IC 5-11-10-1.6
20
Clerk-Treasurer